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Commend an Employee/Submit a Concern or Suggestion

2. If you wish to make a commendation or make a suggestion or complaint concerning the actions of a Town of Christiansburg employee or any aspects of Town operations, please complete this form. You can also fill out a paper form in person at Christiansburg Town Hall, 100 East Main Street and submit it to ATTN: Randy Wingfield, Interim Town Manager, 100 East Main Street, Christiansburg, VA 24073. This form requires that you identify yourself and give specific details about the commendation/concern/suggestion. It is possible that you may be contacted and asked additional questions. Once the submission has been reviewed, the town manager will notify you of the resolution.

   If you wish to make a commendation or make a suggestion or complaint concerning the actions of a Town of Christiansburg employee or any aspects of Town operations, please complete this form. You can also fill out a paper form in person at Christiansburg Town Hall, 100 East Main Street and submit it to ATTN: Randy Wingfield, Interim Town Manager, 100 East Main Street, Christiansburg, VA 24073. This form requires that you identify yourself and give specific details about the commendation/concern/suggestion. It is possible that you may be contacted and asked additional questions. Once the submission has been reviewed, the town manager will notify you of the resolution.

4. Section I - Employee Information

6. I would like to...*

   1. Commend an employee

   1. Submit a concern/suggestion

8. Employee Name

10. Department (if known)

12. Section II - Citizen Information

14. Name*

16. Address 1*

18. Address 2 (if applicable)

20. City*

21. State*

22. Zip*

24. Telephone*

25. Alternate Phone

27. Email

29. Preferred Method of Contact*

    1. U.S. Mail
    2. Telephone

    1. Alternate Phone
    2. Email

31. Section III - Specific Details

33. When did this happen (date)? *

34. Where did this happen (location)?*

36. What time did this happen?*

37. a.m. or p.m.?

    1. a.m.

    1. p.m.

39. Address 1*

41. Address 2 (if applicable)

43. City

44. State

45. Zip

47. What would you like us to know?*

49. Section IV - Witness Information

51. Witness #1 (if applicable)

53. Name

55. Address 1

57. Address 2 (if applicable)

59. City

60. State

61. Zip

63. Telephone

64. Alternate Phone

66. Relationship

68. Witness #2 (if applicable)

70. Name

72. Address 1

74. Address 2 (if applicable)

76. City

77. State

78. Zip

80. Telephone

81. Alternate Phone

83. Relationship

85. By checking this box, I understand and acknowledge that any false, misleading, or untrue statements, accusations, or allegations made in relation to employees of the Town of Christiansburg may lead to civil or criminal sanctions.*

    1. I understand and acknowledge the statement above.

Leave This Blank:


86. 1. Receive email copy
87. Email address

    This field is not part of the form submission.

88. Submit

* indicates a required field